DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

BLACKBURN, AMANDA

002553937

(816) 284-1388

601 E SAMUEL ST
HAMILTON
MO  64644-1250

BLACKBURN, AMANDA LYNN



 




JILL EILEEN ZEIGENBEIN

BIRTH - 12 YEARS

10

FAMILY HOME

UP TO 10 CHILDREN IN CARE NO MORE THAN 2 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER
 
Inspection Information

06/28/2017

9:15 AM

10:31 AM

UNANNOUNCED

COMPLIANCE MONITORING

2308268544


DocumentDocument-Date
SANITATION INSPECTION 08/25/2016
FIRE/SAFETY INSPECTION 08/01/2016
OWNER/PROVIDER REFERENCES 10/27/2015
SAMPLE WEEKLY MENU 11/03/2015
EQUIPMENT LIST 11/03/2015
LOCAL FIRE DEPARTMENT NOTIFICATION 11/03/2015
DIAGRAM/OUTDOOR 09/21/2015
APPLICATION 09/21/2015
DIAGRAM/INDOOR 11/09/2015
DAILY SCHEDULE 11/09/2015




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 1
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.
Attendance at Time of Inspection
Total Staff 1
Total Children 10
StaffChildClass AgeNote
1 10 MIXED 6 School age 4 preschool 3 relatives

 
19 CSR 30-61.025 Organization and Administration
Compliance
19 CSR 30-61.045 Initial Licensing Information
Compliance
19 CSR 30-61.055 License Renewal
Compliance
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home
Violation
 Provider Comments
Violation
Food and water dishes used by animals were accessible to children as evidenced by dog food and water dishes on floor in the laundry room.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 4 (F) states: Food and water dishes used by animals shall not be accessible to the children.
Correction Required
Food and water dishes used by animals shall not be accessible to children.

Correction Verification
Corrected on Site

Compliance Date
6/28/2017
19 CSR 30-61.086 Fire Safety
Compliance
19 CSR 30-61.090 Disaster and Emergency Preparedness
Compliance
19 CSR 30-61.095 Furniture, Equipment and Materials
Compliance
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel
Violation
 Provider Comments
Violation
The requirements for documentation of 12 clock hours of annual training were not met as evidenced by there were no training documents on file. The staff listed needs the following information: Amanda needs 12 training hours for 2016.
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel 4 (A) states: The provider shall obtain at least twelve (12) clock hours of child care-related training during each year of employment in training which is approved by the department in health, safety, nutrition, guidance and discipline, appropriate activities and learning experiences for children, positive communication and interaction with parents, planning and setting up an appropriate environment for children, professional and administrative practices, or other child-related areas. Any assistant working more than five (5) hours per week shall meet the same training requirements.
Correction Required
Required training hours shall be documented for each employee.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-61.115 Day Care Family and Household
Compliance
19 CSR 30-61.125 Medical Examination Reports
Compliance
19 CSR 30-61.135 Admission Policies and Procedures
Compliance
19 CSR 30-61.145 Nighttime Care
Compliance
19 CSR 30-61.155 Overlap Care of Children
Compliance
19 CSR 30-61.165 Emergency School Closings
Compliance
19 CSR 30-61.175 Child Care Program
Compliance
19 CSR 30-61.185 Health Care
Compliance
19 CSR 30-61.190 Nutrition and Food Service
Compliance
19 CSR 30-61.200 Transportation and Field Trips
Compliance
19 CSR 30-61.210 Records and Reports
Compliance
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance
RSMo 210.252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance